与在急诊室推迟下令给药时间相关的因素:回顾性分析
Yen-Wen Chen1, Jian-Heng Lee1, Cheng-Ying Chiang1
1Department of Emergency Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, No. 539, Zhongxiao Road, East District, Chiayi City, 600, Taiwan.
BMC emergency medicine
|April 28, 2025
概括
紧急诊所延误的状态药物管理影响9.9%的患者. 年龄较大,女性性别,运动能力有限和诊断测试增加了延迟风险,而较高的分拣水平和夜班减少了这一风险.
科学领域:
- 紧急医疗 紧急医疗
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在急诊室 (ED) 及时服用药物对于患者的治疗结果至关重要.
- 延迟施用静态药物可能会对患者的护理产生负面影响.
- 这项研究调查了导致静止药物推迟订购至服药 (OTA) 时间的因素.
研究的目的:
- 为了确定在急诊室中延迟药物处方时间 (OTA) 的预测因素.
- 分析患者的人口统计学,分拣特征,环境因素和与药物治疗延迟相关的处方细节.
- 为优化急诊室工作流程和改善药物递送时间的策略提供信息.
主要方法:
- 追溯分析了11429名患者在第三级医院的ED诊所的访问情况.
- 纳入标准:2020年6月1日至8月31日期间接受静止药物的20岁以上患者.
- 多变量后勤回归用于识别OTA延迟超过30分钟的预测因素.
主要成果:
- 9.9%的患者经历了超过30分钟的延迟.
- 延迟的预测因素包括年龄较大,女性性别,运动能力有限,创伤,每小时一次的患者访问,以及同时进行的诊断测试 (血液测试,X光学,CT).
- 延迟几率降低与更高的分拣水平,夜班和肌内 vs 静脉注射有关.
结论:
- 患者,环境和诊断因素在很大程度上预测了静止药物治疗延迟ED.
- 了解这些预测因素是开发针对工作流优化目标干预措施的关键.
- 需要进一步的研究来验证这些研究结果在不同的ED设置.
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